CPT code 25112: Tendon lesion excision, recurrent lesion2026 Medicare rate & RVUs in Arkansas
Removal of a recurrent lesion arising from a tendon sheath or capsule in the forearm or wrist, such as a ganglion that has returned.
In Arkansas, Medicare pays $335.24 for 25112 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 25112 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 25112 covers
Code 25112 represents operative removal of a recurrent lesion arising from a tendon sheath or capsule in the forearm and/or wrist, commonly a ganglion that has returned after prior treatment. The surgeon exposes the involved structure and excises the lesion. Hand and orthopedic surgeons typically perform this procedure in an operating room or ambulatory surgery setting; the lesion’s location and operative history guide the approach.
Report 25112 when the record identifies the lesion’s forearm or wrist location, its tendon-sheath or capsular origin, and its recurrent status. Document relevant prior treatment, operative findings, and the work performed; distinguish a recurrent lesion from a deep lesion reported with 25111. The code has a 90-day global period, including the day-before preoperative visit and related postoperative care for 90 days. When multiple procedures occur in one session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery, co-surgeons, or team surgery for this service.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
How Arkansas compares for 25112
Across 109 of 109 payment localities, the facility rate for 25112 runs from $335.24 in Arkansas to $466.69 in San Benito County, CA. Arkansas pays $335.24. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Arkansas · this page$335.24
- Los Angeles, CA · California$409.27+$74.03
- Washington, DC area · District of Columbia$423.46+$88.22
- Miami, FL · Florida$430.06+$94.82
- Chicago, IL · Illinois$417.20+$81.96
- Manhattan, NY · New York$435.75+$100.51
- Alaska · Alaska$452.61+$117.37
Other areas in Arkansas first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $339.87 |
| ArizonaArizona | — | $366.80 |
| Bakersfield, CACalifornia | — | $387.28 |
| Chico, CACalifornia | — | $384.83 |
| El Centro, CACalifornia | — | $384.98 |
| Fresno, CACalifornia | — | $384.83 |
| Hanford, CACalifornia | — | $384.83 |
| Madera, CACalifornia | — | $384.83 |
| Merced, CACalifornia | — | $384.83 |
| Modesto, CACalifornia | — | $384.83 |
| Napa, CACalifornia | — | $434.45 |
| Oxnard, CACalifornia | — | $405.89 |
| Redding, CACalifornia | — | $384.83 |
| Rest of CaliforniaCalifornia | — | $384.83 |
| Riverside, CACalifornia | — | $394.30 |
| Sacramento, CACalifornia | — | $400.83 |
| Salinas, CACalifornia | — | $399.29 |
| San Diego, CACalifornia | — | $406.56 |
| Marin County, CACalifornia | — | $455.88 |
| San Francisco, CACalifornia | — | $454.88 |
| San Benito County, CACalifornia | — | $466.69 |
| Santa Clara County, CACalifornia | — | $462.60 |
| San Luis Obispo, CACalifornia | — | $393.25 |
| Santa Cruz, CACalifornia | — | $408.73 |
| Santa Maria, CACalifornia | — | $400.20 |
| Santa Rosa, CACalifornia | — | $412.64 |
| Stockton, CACalifornia | — | $384.83 |
| Vallejo, CACalifornia | — | $433.01 |
| Visalia, CACalifornia | — | $384.83 |
| Yuba City, CACalifornia | — | $384.83 |
| ColoradoColorado | — | $385.01 |
| ConnecticutConnecticut | — | $401.38 |
| DelawareDelaware | — | $372.54 |
| Fort Lauderdale, FLFlorida | — | $403.39 |
| Rest of FloridaFlorida | — | $383.27 |
| Atlanta, GAGeorgia | — | $386.59 |
| Rest of GeorgiaGeorgia | — | $361.60 |
| Hawaii, Guam, HIHawaii | — | $391.54 |
| IowaIowa | — | $342.74 |
| IdahoIdaho | — | $345.95 |
| East St. Louis, ILIllinois | — | $391.24 |
| Rest of IllinoisIllinois | — | $376.62 |
| Suburban Chicago, ILIllinois | — | $406.14 |
| IndianaIndiana | — | $347.70 |
| KansasKansas | — | $343.73 |
| KentuckyKentucky | — | $352.87 |
| New Orleans, LALouisiana | — | $369.55 |
| Rest of LouisianaLouisiana | — | $353.35 |
| Metropolitan Boston, MAMassachusetts | — | $418.07 |
| Rest of MassachusettsMassachusetts | — | $383.93 |
| Baltimore area, MDMaryland | — | $400.78 |
| Rest of MarylandMaryland | — | $378.55 |
| Rest of MaineMaine | — | $350.33 |
| Southern Maine, MEMaine | — | $364.49 |
| Detroit, MIMichigan | — | $390.41 |
| Rest of MichiganMichigan | — | $363.86 |
| MinnesotaMinnesota | — | $362.08 |
| Metropolitan Kansas City, MOMissouri | — | $364.48 |
| Metropolitan St. Louis, MOMissouri | — | $367.76 |
| Rest of MissouriMissouri | — | $349.32 |
| MississippiMississippi | — | $342.22 |
| MontanaMontana | — | $377.04 |
| North CarolinaNorth Carolina | — | $353.37 |
| North DakotaNorth Dakota | — | $359.64 |
| NebraskaNebraska | — | $343.74 |
| New HampshireNew Hampshire | — | $381.45 |
| Northern New JerseyNew Jersey | — | $419.99 |
| Rest of New JerseyNew Jersey | — | $404.03 |
| New MexicoNew Mexico | — | $366.76 |
| NevadaNevada | — | $372.38 |
| NYC suburbs and Long Island, NYNew York | — | $449.00 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $408.70 |
| Queens, NYNew York | — | $435.44 |
| Rest of New YorkNew York | — | $358.58 |
| OhioOhio | — | $360.30 |
| OklahomaOklahoma | — | $349.60 |
| Portland, OROregon | — | $393.73 |
| Rest of OregonOregon | — | $367.58 |
| Metropolitan Philadelphia, PAPennsylvania | — | $393.53 |
| Rest of PennsylvaniaPennsylvania | — | $359.43 |
| Puerto RicoPuerto Rico | — | $378.81 |
| Rhode IslandRhode Island | — | $383.27 |
| South CarolinaSouth Carolina | — | $357.81 |
| South DakotaSouth Dakota | — | $357.58 |
| TennesseeTennessee | — | $345.68 |
| Austin, TXTexas | — | $385.40 |
| Beaumont, TXTexas | — | $357.39 |
| Brazoria, TXTexas | — | $370.08 |
| Dallas, TXTexas | — | $373.51 |
| Fort Worth, TXTexas | — | $371.93 |
| Galveston, TXTexas | — | $371.89 |
| Houston, TXTexas | — | $387.99 |
| Rest of TexasTexas | — | $364.26 |
| UtahUtah | — | $362.35 |
| VirginiaVirginia | — | $365.13 |
| Virgin Islands, VIUnited States Virgin Islands | — | $378.81 |
| VermontVermont | — | $360.62 |
| Rest of WashingtonWashington | — | $382.42 |
| King County, WAWashington | — | $423.75 |
| WisconsinWisconsin | — | $348.54 |
| West VirginiaWest Virginia | — | $364.12 |
| WyomingWyoming | — | $369.45 |
25112 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 25112 rate is calculated
Each of 25112’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 25112
RVUs × geographic indexes × conversion factor
Work4.55
4.55 RVUs× 1.000 GPCI
Practice expense5.86
5.86 RVUs× 1.000 GPCI
Malpractice0.88
0.88 RVUs× 1.000 GPCI
Adjusted RVUs
11.2900
Conversion factor
$33.4009
Medicare rate
$377.10
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Arkansas inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
2,394
- Code
- 25112
- Physician work
- 4.55
- Practice expense
- 5.86
- Malpractice
- 0.88
GPCI2026.csv
7
- Locality
- Arkansas
- Physician work
- 1.000
- Practice expense
- 0.859
- Malpractice
- 0.515
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.55 | × 1.000 | 4.5500 |
| Practice expense | 5.86 | × 0.859 | 5.0337 |
| Malpractice | 0.88 | × 0.515 | 0.4532 |
| Total RVUs | 10.0369 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Arkansas$335.24
Facility: (4.55 × 1 + 5.86 × 0.859 + 0.88 × 0.515) × $33.4009 = $335.24
Payment rules and modifiers for 25112
25112 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 25112
Tendon lesion excision, recurrent lesion
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 25112
Tendon lesion excision, recurrent lesion
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
25112 without 50 · national facility
$377.10
Tendon lesion excision, recurrent lesion
25112-50 · Bilateral: 150%
$565.65
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
How 25112 has changed in Arkansas
25112 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $335.24 | RVU26D |
| 2026-07-01 | Not available in this setting | $335.24 | RVU26C |
| 2026-04-01 | Not available in this setting | $335.24 | RVU26B |
| 2026-01-01 | Not available in this setting | $335.24 | RVU26A |
| 2025-10-01 | Not available in this setting | $349.96 | RVU25D |
| 2025-07-01 | Not available in this setting | $349.96 | RVU25C |
| 2025-04-01 | Not available in this setting | $349.96 | RVU25B |
| 2025-01-01 | Not available in this setting | $349.96 | RVU25A |
| 2024-10-01 | Not available in this setting | $356.19 | RVU24D |
| 2024-07-01 | Not available in this setting | $356.19 | RVU24C |
| 2024-04-01 | Not available in this setting | $356.19 | RVU24B |
| 2024-03-09 | Not available in this setting | $356.19 | RVU24AR |
| 2024-01-01 | Not available in this setting | $350.38 | RVU24A |
| 2023-10-01 | Not available in this setting | $355.61 | RVU23D |
| 2023-07-01 | Not available in this setting | $355.61 | RVU23C |
| 2023-04-01 | Not available in this setting | $355.61 | RVU23B |
| 2023-01-01 | Not available in this setting | $355.61 | RVU23A |
| 2022-10-01 | Not available in this setting | $354.44 | RVU22D |
| 2022-07-01 | Not available in this setting | $354.44 | RVU22C |
| 2022-04-01 | Not available in this setting | $354.44 | RVU22B |
| 2022-01-01 | Not available in this setting | $354.44 | RVU22A |
| 2021-10-01 | Not available in this setting | $353.64 | RVU21D |
| 2021-07-01 | Not available in this setting | $353.64 | RVU21C |
| 2021-04-01 | Not available in this setting | $353.64 | RVU21B |
| 2021-01-01 | Not available in this setting | $353.64 | RVU21A |
| 2020-10-01 | Not available in this setting | $358.81 | RVU20D |
| 2020-07-01 | Not available in this setting | $358.81 | RVU20C |
| 2020-04-01 | Not available in this setting | $358.81 | RVU20B |
| 2020-01-01 | Not available in this setting | $358.81 | RVU20A |
| 2019-10-01 | Not available in this setting | $361.82 | RVU19D |
| 2019-07-01 | Not available in this setting | $361.82 | RVU19C |
| 2019-04-01 | Not available in this setting | $361.82 | RVU19B |
| 2019-01-01 | Not available in this setting | $361.82 | RVU19A |
| 2018-10-01 | Not available in this setting | $360.90 | RVU18D |
| 2018-07-01 | Not available in this setting | $360.90 | RVU18C |
| 2018-04-01 | Not available in this setting | $360.90 | RVU18B |
| 2018-01-01 | Not available in this setting | $360.90 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $357.48 | RVU17D |
| 2017-07-01 | Not available in this setting | $357.48 | RVU17C |
| 2017-04-01 | Not available in this setting | $357.48 | RVU17B |
| 2017-01-01 | Not available in this setting | $357.48 | RVU17A |
| 2016-10-01 | Not available in this setting | $354.53 | RVU16D |
| 2016-07-01 | Not available in this setting | $354.53 | RVU16C |
| 2016-04-01 | Not available in this setting | $354.53 | RVU16B |
| 2016-01-01 | Not available in this setting | $354.53 | RVU16A |
| 2015-10-01 | Not available in this setting | $354.80 | RVU15D |
| 2015-07-01 | Not available in this setting | $354.80 | RVU15C |
| 2015-04-01 | Not available in this setting | $353.03 | RVU15B |
| 2015-01-01 | Not available in this setting | $353.03 | RVU15A |
| 2014-10-01 | Not available in this setting | $350.99 | RVU14D |
| 2014-07-01 | Not available in this setting | $350.99 | RVU14C |
| 2014-04-01 | Not available in this setting | $350.99 | RVU14B |
| 2014-01-01 | Not available in this setting | $350.99 | RVU14A |
| 2013-10-01 | Not available in this setting | $347.90 | RVU13D |
| 2013-07-01 | Not available in this setting | $347.90 | RVU13C |
| 2013-04-01 | Not available in this setting | $347.90 | RVU13B |
| 2013-01-01 | Not available in this setting | $347.90 | RVU13AR |
Where the Arkansas rate applies
Arkansas is a Medicare payment area, not a city. Our Census mapping connects it to 626 cities and communities in Arkansas. Some span more than one payment area; confirm with the service ZIP.
- Acorn
- Adona
- Alexander
- Alicia
- Alix
- Alleene
- Allport
- Alma
25112 billing questions
When is 25112 appropriate instead of 25110 or 25111?
Use 25112 when the tendon-sheath or capsular lesion is recurrent. Code 25110 describes the non-deep, nonrecurrent level, while 25111 is for a deep lesion.
What documentation supports reporting a recurrent lesion?
Record the forearm or wrist site, the lesion’s tendon-sheath or capsular origin, its recurrent status, relevant prior treatment, and the operative findings.
Does 25112 include related postoperative care?
Yes. Its 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is 25112 handled when another procedure is performed in the same session?
The highest-valued procedure is paid in full, and other procedures are paid at 50% under the standard multiple procedure reduction.
Can modifier 50 be used for bilateral excision?
Yes. CMS identifies this as a bilateral procedure; reporting modifier 50 is paid at 150%.
Is an assistant surgeon or co-surgeon payable for 25112?
No. CMS restricts assistant-at-surgery payment and does not permit co-surgeon or team-surgery payment for this service.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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